Occupational asthma due to Colistin in a pharmaceutical worker (new cause) |
|
Agent |
Colistin |
Job |
Pharmaceutical warehouseman |
Specific IgE |
neg (dot/blot test) |
Skin prick test |
not done |
Non-specific reactivity |
normal (16mg/ml) |
Serial Peak Flow |
not done |
BAL |
not done |
FENO |
not done |
Basophil histamine release |
Not done |
Specific Challenge |
positive immediate reaction |
Follow-up |
relocated, no symptoms after 6 months |
First occupational record of colistin asthma. Previous reports of asthma from nebulised colistin in patients.
References
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